Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 12250 | Date 21/10/2024 |
| Token No | SM/25-26/1584 07/08/2025 | Serial | 028 |
| Patient Name | Mrs. JYOTSNA BAG | Contact No | 9836689862 |
| Address | JANNAGAR ROAD | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||